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NPI Code Detail

MEDICARE: DENISE PATRIACO APN

MEDICARE: DENISE PATRIACO APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner26NN10702800NJ

General Provider Information

NPI Number : 1629359690
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE PATRIACO APN
Provider Business Mailing Address
First Line : 85 MOEHRING DR
Second Line :
City : BLAUVELT
State : NY
Zip : 10913-2020
Country : US
Telephone Number : 845-365-9102
Fax Number :
Provider Business Practice Location Address
First Line : 777 TERRACE AVE
Second Line :
City : HASBROUCK HEIGHTS
State : NJ
Zip : 07604-3110
Country : US
Telephone Number : 201-288-2391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2011
Last Update Date : 09/06/2011

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Directions to “ DENISE PATRIACO APN” Practice Location

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